Pan American Health
Progress in defining lines of work in Strategy
and Plan of Action for Malaria in the Americas
2011-2015
Keith H. Carter
PAHO/WHO Regional Advisor for Malaria AMI / RAVREDA Annual Evaluation Meeting Panama City, Panama y 22 - 24 March 2011
Malaria Situation in the Americas 2000-2009
18 Malaria-free countries
4 Countries with 50 - 74% decrease in total cases
6 Countries with <50% decrease in total cases
3 Countries with increases 8 Countries with >75% decrease in total cases
•21 countries endemic
•11 South America (82% cases P. vivax)
•8 countries Central America (96% cases P. vivax)
•2 countries Hispaniola (almost 100% P. falciparum) •74% of all cases in Region P. vivax;
26% P.falciparum;
•<1% by P. malariae (Brazil, Guyana & Suriname)
Pan American Health
Strategy and Plan of Action for Malaria in the Americas
2011 ‐ 2015 Background
• Regional Mandate CD46.R13 (2005): “Malaria and the
Internationally Agreed‐upon Development Goals including
those contained in the Millennium Declaration”
• Regional Strategic Plan for Malaria in the Americas 2006‐2010
• Progress in achieving Roll Back Malaria and UN Millennium
Development Goals
• 52% morbidity and 61% mortality reduction (2000‐2009) in
the Region, vis a vis RBM 50% reduction goal for 2010.
• 18 of 21 endemic countries achieved target reductions
• Reductions countries 8 (>75%); 4 (>50‐75%) 6 (<50%)
Strategic Plan 2011-2015
•
Malaria Context in the Region
•
Burden Reduced 50% between 2000-2010
•
Interest in Elimination
Pan American Health
Malaria Elimination? Mesoamerica Dominican Republic and Haiti Argentina Paraguay
Pan American Health
Strategy and Plan of Action for Malaria in the Americas
2011 ‐ 2015 Background
• Regional Mandate CD46.R13 (2005): “Malaria and the
Internationally Agreed‐upon Development Goals including
those contained in the Millennium Declaration”
• Regional Strategic Plan for Malaria in the Americas 2006‐2010
• Progress in achieving Roll Back Malaria and UN Millennium
Development Goals
• 52% morbidity and 61% mortality reduction (2000‐2009) in
the Region, vis a vis RBM 50% reduction goal for 2010.
• 18 of 21 endemic countries achieved target reductions
• Reductions countries 8 (>75%); 4 (>50‐75%) 6 (<50%)
Rationale for development of Strategy and Plan
2011 ‐ 2015
• Achievements of Strategic Plan 2006‐2010
• Update strategic lines to address evolving challenges in
context of decreased burden; interest in elimination and
sustaining commitment of stakeholders
• Promote framework for stronger integration of cross
cutting issues – gender, ethnicity, human rights, health
promotion, primary health care, social promotion in
Pan American Health
Proposed content of Strategy and Plan of Action 2011 ‐ 2015
• Analysis of gaps and opportunities – epidemiological; socio-political and economic; behavioral and environmental; educational; policy and administration
• Lines of action and integration of cross-cutting issues – prevention, surveillance, vector management, diagnosis and treatment, advocacy, communication, partnerships, collaboration, health systems
strengthening, strategic planning, operational research , capacity building
• Goals, Objectives, indicators, proposed action for Member States, PAHO, other partners and stakeholders
Proposed content of Strategy and Plan of Action 2011 ‐ 2015
• Consistency with WHO/PAHO’s six organizational core functions
– Leadership and partnership
– Research agenda and knowledge management
– Norms and standards
– Ethical and evidence-based policy
– Technical support, change and capacity building
– Monitoring health situation and assessing health trends PAHO’s Regional Malaria Programme committed to
comprehensive and balanced range of activities for 2011 – 2015 and beyond to attain global goals and national targets.
Pan American Health
Strategy and Plan of Action for Malaria in the Americas 2011 – 2015: Components and Goals 1. Malaria Prevention, Surveillance, and Early Detection and Containment
of Outbreaks
• To intensify efforts on malaria prevention, surveillance and early detection and containment of outbreaks in various program contexts
2. Integrated Vector Management
• To promote, strengthen, and optimize mechanisms and tools for judicious and cost-effective vector-management
3. Malaria Diagnosis and Treatment
• To strengthen access to prompt and accurate malaria diagnosis, and rapid treatment with effective anti-malarials
4. Advocacy, Communications, Partnerships and Collaborations
• To foster an environment that promotes sustainability and is supportive of collaborative efforts and best practices against the disease
5. Health Systems Strengthening, Strategic Planning, Operational Research, and Country-Level Capacity Building
• To optimize efforts towards strengthening health systems, strategic planning, operational research, and building capacities of nations to relevantly and adequately address their respective malaria challenges
Proposed
Goals
of
PAHO
Strategy
and
Plan
of
Action
2011
‐
2015
• Roll Back Malaria and Millennium Development Goals (reduction malaria burden 50% by 2010 and 75% by 2015) compared with 2000.
• Inversion of increasing tendency in three countries
• Mesoamerican and Southern Cone countries in pre-elimination phase and progessing towards elimination
• Reduction of malaria-related mortality
• Zero reintroduction of malaria transmission in countries where eliminated
Pan American Health
Pasos en desarrollo del Plan
Estrategico Malaria 2011-2015
• Borrador de propuesta desarrollado por Programa Regional de Malaria
• Resumen presentada para consideracion, aprobada por Direccion de OPS
• Invitacion del Programa de Malaria de OPS a reunion de revision con otras instituciones y agencias
• Cambios sugeridas siendo introducidos al borrador
• Presentacion al Comité Ejecutivo y Consejo Directivo de OPS – Estados Miembros
